HEALTHIA EXCHANGE - EMPOWERING HEALTH DATA INTERCHANGE

Improving eligibility verification processes has the potential for significant financial benefits. Providers can improve their reimbursement cycles, cash flow and revenue by accelerating access to up-to-date eligibility information, improving collections, increasing claims acceptance and reducing Accounts Receivable days and bad debt. In addition, improved eligibility verification processes can enhance productivity and increase employee and patient satisfaction.

Our Solutions
Healthia Exchange's solutions allow healthcare providers to improve their eligibility verification processes and in turn, their financial position. We provide three solutions to assist healthcare providers in acquiring more accurate and timely eligibility information:

Real-time, web-based portal. Key areas within a hospital or clinic such as the business office, scheduling, registration, and admitting areas can realize benefits of real-time access to eligibility on demand.
Batch runs of patients / encounters. Healthcare organizations can run batches of patient encounters, either self-pay encounters or pre-registration data, to find evidence of insurance eligibility and benefit details. This is a quick and easy process to implement and results in immediate benefits.
Integration with a healthcare provider's HIT systems. Due to the open architecture and technology leveraged by Healthia Exchange, integration with a provider's existing systems can be done in a variety of ways.

Real-Time, Web-Based Portal
Healthia Exchange's unique, real-time multi-threaded search capabilities allow users to search multiple payers for eligibility information at once from a single easy-to-use interface. A single login screen provides access to ALL payers. It's no longer necessary to have staff memorize over ten different login/password combinations.

Query input and results are also standardized, so users don't need to memorize navigation schemes for multiple payer sites. The user may select one or more payers to query and then enter criteria such as name, date-of-birth and date-of-service and submit the query to all payers selected from just a single entry screen. If the user selects multiple payers to query, the system queries the multiple payers simultaneously.

Results are returned from all payers queried within seconds. The results include eligibility and benefits information such as member ID, group ID, coverage end and start dates, co-pay information and much more.

If more than one payer is queried, the information from each payer is available on the same results screen. In addition, numerous management reports are available including user activity reports to verify users are effectively leveraging the solution.

Batch Runs
Healthia Exchange has the ability to automatically submit and run batches of patients/encounters. This is a quick and easy process to implement, resulting in immediate benefits. Our clients are currently leveraging the batch run solution to process:

Pre-registration data prior to scheduled visits to proactively identify insurance related issues.
Self-pay encounters to identify insurance eligibility on otherwise uncollectible accounts.

Integration with HIT Systems
Healthia Exchange is easily integrated with existing systems. By utilizing HL7, XML, ANSI X12N 270/271 transactions, or any other proprietary interface, we have provided seamless integration with existing systems and screen flows.

For more information on leveraging Healthia Exchange to improve your eligility verification processes and in turn, your organization's financial position, please contact:

Paul Olson
General Manager, Healthia Exchange
paul.olson@healthiaconsulting.com
(763) 923-7912 office
(612) 850-4331 cell